SACRED WANDERING / SACRED PATH PRACTITIONERS
NPI 1780240614
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mequon, WI

Q: What is Sacred Wandering / Sacred Path Practitioners's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since May 16, 2019

10134 N PORT WASHINGTON RD STE G, MEQUON, WI 53092(414) 433-9193(414) 435-9611 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sacred Wandering / Sacred Path Practitioners NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SACRED WANDERING / SACRED PATH PRACTITIONERS (NPI 1780240614) is a healthcare organization registered as a mental health (including community mental health center) in Mequon, Wisconsin and active in the NPI registry since May 2019. The organization lists Kenneth J Nelan, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1780240614

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameSACRED WANDERING / SACRED PATH PRACTITIONERS

Location Address10134 N PORT WASHINGTON RD STE GMequon, WI 53092-5700

Mailing Address10134 N Port Washington Rd Ste GMequon, WI 53092-5700 · (414) 433-9193 · Fax (414) 435-9611

Phone(414) 433-9193

Fax(414) 435-9611

Organization SubpartNo

Authorized OfficialKenneth J NelanOwner/provider · (414) 433-9193

Enumeration DateMay 16, 2019

✔ NPI 1780240614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

10134 N PORT WASHINGTON RD STE G, Mequon, WI 53092

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sacred Wandering / Sacred Path Practitioners's NPI number?

The NPI number for Sacred Wandering / Sacred Path Practitioners is 1780240614. It was assigned to this organization in the NPPES registry on May 16, 2019.

Where is Sacred Wandering / Sacred Path Practitioners located?

Sacred Wandering / Sacred Path Practitioners is located at 10134 N Port Washington Rd Ste G, Mequon, WI 53092. The listed phone number is (414) 433-9193.

What is Sacred Wandering / Sacred Path Practitioners's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Sacred Wandering / Sacred Path Practitioners was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.